Provider Demographics
NPI:1275866444
Name:MERESZ, YOKO NAKATANI
Entity Type:Individual
Prefix:MS
First Name:YOKO
Middle Name:NAKATANI
Last Name:MERESZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1992A NAIO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2047
Mailing Address - Country:US
Mailing Address - Phone:808-847-4045
Mailing Address - Fax:808-847-4045
Practice Address - Street 1:1221 KAPIOLANI BLVD STE 6E
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3513
Practice Address - Country:US
Practice Address - Phone:808-554-2104
Practice Address - Fax:808-593-2275
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10629225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist